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I certify that all information on this form and the attached document(s), <br />if applicable, is true and correct. <br />Signature of the person with authority to enter into a contractual <br />agreement. <br />Name (print): Bob Solari <br />Signature: <br />Title: Chairman, Indian River County Board of County Commissioners <br />Date: <br />APPROVED AS TO O <br />AND LP SWF' <br />4 <br />Page 7 of 7 ?YCOUP i (ATrO J't <br />159 <br />E. Estimated Applicant's Annual <br />Operation & Maintenance Costs: <br />$ 17,000 <br />F. Estimated Service life of <br />components: <br />15 years <br />C-2 <br />Cost Effectiveness (Scoring Criterion #7) (.:r,',.r+i.-,,,!f:::,-.fill <br />'-or'// t r Supply a:•.: ,-A,..--.,- C, -,r -:arvation i%, )ig , <br />f,'ivid)•,1`www.floridaswatercom/fundinai of,:r �;,;:r-oiri:!?:,7r,;:f,`;r,; <br />inert •c+,/:,1;; <br />of a?ttach Lii .:,.=.e '.:1-'s•-.:1..?n 3, ;,:/C.f.. <br />o <br />+.;-,:+�zf;; .- ;l�:-"_:„V:-.,`',''J!:£iiity, <br />"' -�.- +rrvi .); rlit%.+ It'h. <br />gallons made available <br />1000 gallons conserved <br />reduced per year <br />ratio <br />or linear feet shoreline <br />(_+. <br />Fin, -;r1' .:. , ..• .: .. /::i`it -� ,r•//s:lt^ <br />C 0C;,..', erlt...if:7fi <br />Water Supply: cost per 1000 <br />Water Conservation: $1.577 cost per <br />Water Quality (TP or TN): cost per Ib <br />Flood Protection: Benefit/Cost <br />Natural Systems cost per acre <br />Provide <br />spreadsheet; <br />District's <br />the required attachments: project map, construction schedule/timeline, project cost table or <br />plus additional information required for your specific project type in accordance with the <br />2016 REDI Community& Innovative Projects Cost -Share (RCIPCS) Funding Program Guidance. <br />I certify that all information on this form and the attached document(s), <br />if applicable, is true and correct. <br />Signature of the person with authority to enter into a contractual <br />agreement. <br />Name (print): Bob Solari <br />Signature: <br />Title: Chairman, Indian River County Board of County Commissioners <br />Date: <br />APPROVED AS TO O <br />AND LP SWF' <br />4 <br />Page 7 of 7 ?YCOUP i (ATrO J't <br />159 <br />